Neglected Painful Chronic Achilles Tendon Rupture With No Palpable Gap: A Report of 3 Cases

Abstract

Purpose: The purpose of this study was to bring to the attention of orthopedic surgeon community of our new technique of quadruple hamstrings graft in neglected Achilles tendon rupture. Materials and Methods: In this technique article we present results of treatment of 3 cases with neglected painful chronic Achilles tendon rupture with no palpable gap using our new surgical technique. Our method uses semitendinosus and gracilis tendon as autograft which are passes through 2 bone tunnels in calcaneum and tied over a button. Results: At least after 1 year each patient was satisfied with result of our treatment. Patients were able to stand on their forefoot without pain. There was no infection or other complications. Conclusions: Our results show that new surgical technique may be use in similar cases and should be evaluated with better analytical studies.